MEDICARE: SHANNON ASHLEY WALSH LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker		VA

General Provider Information

NPI Number	:	1205411824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON ASHLEY WALSH LCSW

Provider Business Mailing Address
First Line	:	1000 JEFFERSON ST STE 2C
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24504-1724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	45575 SHEPARD DR STE 101
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20164-4409
Country	:	US
Telephone Number	:	703-348-5217
Fax Number	:	617-807-0958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2021
Last Update Date	:	03/15/2021

Similar Medicare Providers

1730330887 — O'BRIEN TECHNOLOGIES, INC.
Practice Location Address:

45589 SHEPARD DR
STERLING, VA
20164-4409

Practice Phone: 703-430-3405
Practice Fax:

1871853879 — PRIME SERVICES LLC
Practice Location Address:

45593 SHEPARD DR , SUITE 201
STERLING, VA
20164-4409

Practice Phone: 703-621-0668
Practice Fax: 703-790-5388

1346723939 — DR. FATEMEH BAFTECHI DMD
Practice Location Address:

45589 SHEPARD DR
STERLING, VA
20164-4409

Practice Phone: 703-962-7009
Practice Fax:

1356424790 — GARY LEWIS CARVER DC
Practice Location Address:

4409 STERLING AVE
KANSAS CITY, MO
64133-1854

Practice Phone: 816-358-5100
Practice Fax: 816-358-6565

1003990466 — JOYCE KAY CARVER DC
Practice Location Address:

4409 STERLING AVE
KANSAS CITY, MO
64133-1854

Practice Phone: 816-358-5100
Practice Fax: 816-358-6565

1730415662 — SUCCESSFUL BUILDING OUTREACH MINISTRY CHURCH
Practice Location Address:

3187 MANGROVE DR
STERLING HEIGHTS, MI
48314-4409

Practice Phone: 248-761-6170
Practice Fax:

Directions to “ SHANNON ASHLEY WALSH LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.